Doctor Answers 5

Rippling post aug

February 4th, 2014

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My experince is that rippling usually is a function of how much soft tissue/berast tissue the patiuent has to start with.The more soft tissue covering the implant the less likely it is to have a rippled appearance.

Rippling after breast augmentation

March 14th, 2014

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Breast augmentation can lead to palpable and even visible rippling in certain situations. The rippling is usually on the outside of the breast and at the bottom. This is because most breast implants are placed under the chest muscle. The chest muscle comes down from the top of the shoulder in a fan like manner crossing the breast in an oblique manner. The outside 1/3 of the breast is not over the muscle. The bottom attachments of the muscle need to be divided when putting the breast implant under the muscle to allow the implant to get to the bottom crease of the breast. Post-operative implant palpability are related to 2 main factors: 1) The amount of breast tissue and fatty tissue the patient has. So I tell patients if they can feel their ribs on the side, then they will feel the side of the implant. 2) Implant fill type. Saline implants are the most common to have complaints of rippling. This is due to the fact that it is a bag filled with salt water. It is similar in feel to a Ziploc bag filled with water. Round smooth silicone implants have 10 x less issues with rippling or wrinkling. The new 410 Natrelle cohesive gel implant was shown to have under 1 % rippling or wrinkling in the FDA study that lead to their approval. So for patients that are concerned with implant wrinkling, these are an excellent choice. The profile of the implant really does not play a role in implant wrinkling, but size does. The larger the implant the more likely wrinkling will occur.

Wrinkling with implants

February 3rd, 2014

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All implants wrinkle both saline and silicone. Saline wrinkles more than silicone. Which profile you choose does not affect wrinkling. Again, all implants wrinkle whether they are low, moderate or high profile. If you want the implant with the lowest chance of wrinkling choose the gel filled implants.

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